Document Detail


Acute arterial occlusion after ultrasound-guided thrombin injection of a common femoral artery pseudoaneurysm with a wide, short neck.
MedLine Citation:
PMID:  18367371     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ultrasound-guided thrombin injection (UGTI) has emerged as the preferred treatment modality for pseudoaneurysms occurring as a result of percutaneous femoral arterial interventions. UGTI is safe and effective, with few complications. Native arterial thrombosis has been rarely reported in the literature following UGTI and has usually been attributed to excessive thrombin injection. We report a case of femoral arteria thrombosis occurring following UGTI of a 4 cm postcatherization pseudoaneurysm with a wide, short neck successfully treated by surgical intervention. The large size of the neck of this pseudoaneurysm likely contributed to the development of this complication.
Authors:
Marcus D'Ayala; Robina Smith; Gregory Zanieski; Bashar Fahoum; Anthony J Tortólani
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-03-25
Journal Detail:
Title:  Annals of vascular surgery     Volume:  22     ISSN:  1615-5947     ISO Abbreviation:  Ann Vasc Surg     Publication Date:    2008 May-Jun
Date Detail:
Created Date:  2008-05-09     Completed Date:  2008-06-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  473-5     Citation Subset:  IM    
Affiliation:
Department of Surgery, New York Methodist Hospital, Brooklyn, NY 11215, USA. mdd9004@nyp.org
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Aged
Aneurysm, False / drug therapy*,  ultrasonography
Arterial Occlusive Diseases / chemically induced*,  complications,  therapy
Femoral Artery / drug effects*,  ultrasonography
Hemostatics / administration & dosage,  adverse effects*
Humans
Injections, Intralesional
Ischemia / etiology,  therapy
Male
Thrombectomy
Thrombin / administration & dosage,  adverse effects*
Thrombolytic Therapy
Thrombosis / chemically induced*,  complications,  therapy
Treatment Outcome
Ultrasonography, Doppler, Color*
Ultrasonography, Interventional*
Chemical
Reg. No./Substance:
0/Hemostatics; EC 3.4.21.5/Thrombin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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